Organization Active NPI

Janet Santiago LCSW

  • Clinical Social Worker
  • Port St Lucie, FL
National Provider Identifier
1669098992
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JANET SANTIAGO LCSW
Practice address
1102 SW Idol Ave
Port St Lucie, FL 34953-6816
Phone
(772) 626-2321
Fax
(772) 800-3175
NPI assigned
Jun 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janet Santiago, LCSWNPI 1578865895
Title
Owner / Provider
Phone
(772) 626-2321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1102 SW Idol Ave
Port St Lucie, FL 34953-6816

Mailing address

1102 SW Idol Ave
Port St Lucie, FL 34953-6816
Phone (772) 626-2321

Other practice location 1

901 SW Martin Downs Blvd Ste 310
Palm City, FL 34990-2862
Phone (772) 626-2321

Other names 1

  • Janet Santiago LCSW LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1669098992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 SW IDOL AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536816",
            "telephone_number": "772-626-2321",
            "fax_number": "772-800-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 SW IDOL AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536816",
            "telephone_number": "772-626-2321",
            "fax_number": "772-800-3175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 SW Martin Downs Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349902862",
            "country_code": "US",
            "telephone_number": "772-626-2321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JANET SANTIAGO LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "772-626-2321",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janet Santiago LCSW LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.